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Automotive Haz Waste Set-up Form <br />Date: 12/30/20 <br />Salesperson: <br />SAM READ <br />G666fator>Itiformation <br />Generator Name: TRACY CHRYSLER DODGE JEI Customer* TRA691 <br />Address: 3460 NAGLEE ROAD, TRACY, CA. 95304 <br />Contact: RICK 1 svc mgr Phone Number: 209-820-1800 <br />EPA #: CAL000455401 Bus. Hours: 8-4 <br /><. aste Information <br />1. Waste Stream <br />Qt . <br />I DM Size <br />Price/Drum <br />Total Price <br />BRAKE FLUID <br />1 <br />30 <br />$985.00 <br />$185.00 <br />Disposai Faciiity: Disposal Method: <br />Process Generating Waste: <br />2. Waste Stream <br />city. <br />DM Size <br />-Total Price <br />OILY DEBRIS <br />1 1 <br />55 <br />$225.00 <br />1 $225.00 <br />Disposal Facility: Disposal Method <br />Process Generating Waste: <br />3. Waste Stream <br />Qty. <br />I DM Size <br />Price/Drum <br />Total Price <br />BRAKE SHAV[NGS <br />1 <br />1 15 <br />$150.00 <br />$150.00 <br />Disposal Facility: Disposal Method: <br />Process Generating Waste: <br />4. Waste Stream <br />Qty. <br />DM Size <br />I Price/Drum <br />Total Price <br />$0.00 <br />Disposal Facility: Disposal Methbd: <br />Process Generating Waste: <br />5. Waste Stream <br />Qty. <br />DM Size <br />PricelDrum <br />Total Prico <br />0 <br />$0.00 <br />$0.00 <br />Disposal Facility: Disposal Method: <br />Process Generating Waste: <br />SUPPLIES <br />Waste Total: $560.00 <br />Supplies Total: $136.00 <br />Job Total: $696.00 <br />$0.00 <br />5 GALLON POLY SCREW TOP 1 $20.00 $20.00 <br />55 GALLON OPEN TOP METAL 1 $52.00 $52.00 <br />15 CLOSED TOP METAL 1 $64.00 $64.00 <br />$0.00 <br />$0.00 <br />NOTES. <br />LABEL FOR OILY DEBRIS, 1-55 <br />LABEL FOR BRAKE FLUID, 1-15 (REPLACING THE 30 WITH A 15) <br />LABEL FOR BRAKE FLUID, 1-30 <br />LABEL FOR BRAKE SHAVINGS, 1-15 , <br />LABEL FOR BRAKE SHAVINGS, 1-5 (REPLACING THE 15 WITH A 5 <br />GALLON POLY) <br />